ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's mother reports that the child feels very warm" to touch. The first action by the nurse should be to:"
Correct Answer: C
Rationale: The correct answer is C, reassess the child's temperature. The nurse should first verify the mother's observation by assessing the child's temperature to confirm if there is an actual fever. This step ensures accurate information before any intervention. Reassuring the mother without verifying the temperature could lead to overlooking a potential issue. Offering cold oral fluids may provide temporary relief but doesn't address the underlying cause. Administering paracetamol should only be done based on a confirmed fever, not solely on the mother's perception of warmth. Therefore, reassessing the child's temperature is the most appropriate initial action.
Question 2 of 5
When bandaging a client's foot, the nurse will:
Correct Answer: B
Rationale: The correct answer is B: Work from proximal to distal. This approach ensures proper blood flow and prevents swelling. Starting from the farthest point (proximal) and moving towards the end (distal) helps maintain circulation and reduces the risk of constriction. Working from anterior to posterior (C) or covering the toes in a spiral (D) can impede circulation. Hyperextending the foot (A) is unnecessary and can cause discomfort. Thus, working from proximal to distal is the most appropriate method for bandaging a client's foot.
Question 3 of 5
The client is prescribed Potassium iodide (Lugol’s solution), the nurse should teach the client:
Correct Answer: B
Rationale: The correct answer is B: To drink the solution using a straw. This method helps minimize the risk of staining the teeth because Lugol's solution can cause discoloration. Using a straw also helps bypass the taste buds on the tongue, reducing the unpleasant taste. Choices A and C are incorrect as they do not address the potential side effects of staining or taste. Choice D is incorrect because Potassium iodide is typically administered orally, not via intramuscular injection.
Question 4 of 5
Nurse Krizia should insert the rectal tube of the enema in an adult _____:
Correct Answer: C
Rationale: The correct answer is C (3-4 inches) because inserting the rectal tube of the enema to this depth ensures proper placement into the rectum without causing discomfort or injury. Inserting too shallow (A and B) may not reach the rectum, leading to ineffective treatment. Inserting too deep (D) can cause injury to the colon. The rectal tube should be inserted to a depth of 3-4 inches to ensure the enema solution reaches the desired area for effective administration.
Question 5 of 5
Mr. Lang is receiving continuous tube feedings through a nasogastric tube. The nurse should check the tube placement once per shift because:
Correct Answer: D
Rationale: The correct answer is D because checking tube placement is essential to prevent aspiration into the trachea. Tube dislodgement can lead to respiratory complications. Option A is incorrect as it's not solely based on physician's order. Option B is incorrect as tube placement in the ileum would cause malabsorption. Option C is incorrect as the tube should be in the stomach, not the esophagus, for feeding.